This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (46)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Neurology  • Critical Care/ Intensive Care Medicine  • Adult Critical Care  • Psychiatry  • Depression  • Quality of Life  • Alert me on articles by topic  Social Bookmarking   What's this?

Rien de Vos, RN; Hanneke C. J. M. de Haes, MS, PhD; Rudolph W. Koster, MD, PhD; Rob J. de Haan, RN, PhD

Arch Intern Med. 1999;159:249-254.

Background  Outcome of cardiopulmonary resuscitation (CPR) can be poor, in terms of life expectancy and quality of life.

Objectives  To determine the impact of patient characteristics before, during, and after CPR on these outcomes, and to compare results of the quality-of-life assessment with published studies.

Methods  In a cohort study, we assessed by formal instruments the quality of life, cognitive functioning, depression, and level of dependence of survivors after in-hospital CPR. Follow-up was at least 3 months after discharge from the hospital (tertiary care center).

Results  Of 827 resuscitated patients, 12% (n = 101) survived to follow-up. Of the survivors, 89% participated in the study. Most survivors were independent in daily life (75%), 17% were cognitively impaired, and 16% had depressive symptoms. Multivariate regression analysis showed that quality of life and cognitive function were determined by 2 factors known before CPR—the reason for admission and age. Factors during and after resuscitation, such as prolonged cardiac arrest and coma, did not significantly determine the quality of life or cognitive functioning of survivors. The quality of life of our CPR survivors was worse compared with a reference group of elderly individuals, but better than that of a reference group of patients with stroke. The quality of life did not importantly differ between the compared studies of CPR survivors.

Conclusions  Cardiopulmonary resuscitation is frequently unsuccessful, but if survival is achieved, a relatively good quality of life can be expected. Quality of life after CPR is mostly determined by factors known before CPR. These findings may be helpful in informing patients about the outcomes of CPR.

From the Resuscitation Committee (Drs de Vos and Koster), the Departments of Medical Psychology (Dr de Haes), Cardiology (Dr Koster), and Clinical Epidemiology and Biostatistics (Dr de Haan), Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Post-Cardiac Arrest Syndrome: Epidemiology, Pathophysiology, Treatment, and Prognostication A Consensus Statement From the International Liaison Committee on Resuscitation (American Heart Association, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of Southern Africa); the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council
Neumar et al.
Circulation 2008;118:2452-2483.
FULL TEXT  

Life after survival: long-term daily life functioning and quality of life of patients with hypoxic brain injury as a result of a cardiac arrest
Middelkamp et al.
Clin Rehabil 2007;21:425-431.
ABSTRACT  

Neuronal injury after repeated brief cardiac arrests during internal cardioverter defibrillator implantation is associated with deterioration of cognitive function.
Weigl et al.
Anesth. Analg. 2006;103:403-9, table of contents.
ABSTRACT | FULL TEXT  

Part 8: Interdisciplinary Topics
Circulation 2005;112:III-100-III-108.
FULL TEXT  

Chest Compression Rates During Cardiopulmonary Resuscitation Are Suboptimal: A Prospective Study During In-Hospital Cardiac Arrest
Abella et al.
Circulation 2005;111:428-434.
ABSTRACT | FULL TEXT  

CPR for Patients Labeled DNR: The Role of the Limited Aggressive Therapy Order
Choudhry et al.
ANN INTERN MED 2003;138:65-68.
ABSTRACT | FULL TEXT  

Cost-effectiveness of Automated External Defibrillators on Airlines
Groeneveld et al.
JAMA 2001;286:1482-1489.
ABSTRACT | FULL TEXT  

Factors Associated With Use of Cardiopulmonary Resuscitation in Seriously Ill Hospitalized Adults
Goodlin et al.
JAMA 1999;282:2333-2339.
ABSTRACT | FULL TEXT  

Quality of Life Remains Good for Most CPR Survivors
Journal Watch Cardiology 1999;1999:4-4.
FULL TEXT